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Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) Nursing Management of Pain During Labor and Birth,100% CORRECT$17.99
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Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) Nursing Management of Pain During Labor and Birth,100% CORRECT
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MATERNITY 101
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MATERNITY 101
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) Nursing Management of Pain During Labor and Birth
MULTIPLE CHOICE
1. A nurse is teaching a childbirth preparation class. The group is discussing individual expression of labor pain. What statement is accurate about a pat...
test bank introduction to maternity and pediatric nursing 8e by leifer nursing management of pain during labor and birth
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INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 1
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by
Leifer) Nursing Management of Pain During Labor and Birth
MULTIPLE CHOICE
1. A nurse is teaching a childbirth preparation class. The group is discussing
individual expression of labor pain. What statement is accurate about a
patients expression of pain?
a. It reduces the patients perception of pain.
b. It is intensified by the vertex position of the fetus.
c. It is influenced by culture.
d. It can be completely controlled by nonpharmacological techniques.
ANS: C
Culture influences how women feel about birth and what is an acceptable response
to pain.
DIF: Cognitive Level: Comprehension REF: Page 168
TOP: Cultural Influences on Pain KEY: Nursing
Process Step: N/A MSC: NCLEX: Physiological
Integrity: Physiological Adaptation
2. What chemical substance(s) produced in the body acts as a natural pain reliever?
a. Endorphins
b. Morphine
c. Codeine
d. Atropine
ANS: A
Endorphins are natural body substances that are similar to morphine and may
explain why laboring women need smaller doses of analgesia.
3. A nurse instructs a womans labor coach to comfort her by firmly pressing on
her lower back. What is this technique?
a. Sacral pressure
b. Distraction
c. Effleurage
d. Conscious relaxation
ANS: A
Sacral pressure refers to firm pressure against the lower back to relieve some of
the pain of back labor.
NURSINGTB.COM
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 2
DIF: Cognitive Level: Knowledge
REF: Page 167 OBJ: 6 TOP:
Nonpharmacological Pain Management
KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
4. A woman who is 6 cm dilated has the urge to push. What will the nurse
instruct the woman to do during the contraction?
a. Use slow-paced breathing.
b. Hold her breath and push.
c. Blow in short breaths.
d. Use rapid-paced breathing.
ANS: C
If a laboring woman feels the urge to push before the cervix is fully dilated, then
she is taught to blow in short breaths to avoid bearing down.
DIF: Cognitive Level: Application REF: Page 170
NURSINGTB.COM
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 3
5. Several hours into labor, a woman complains of dizziness, numbness, and
tingling of her hands and mouth. What does the nurse recognize these
symptoms signify?
a. Hypertension
b. Anxiety
c. Anoxia
d. Hyperventilation
ANS: D
Hyperventilation is sometimes a problem if a woman is breathing rapidly.
DIF: Cognitive Level: Comprehension
REF: Page 171 OBJ: 4 TOP:
Hyperventilation
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
6. What is the most appropriate nursing action to take when a laboring woman
hyperventilates?
a. Help her breathe into her cupped hands.
b. Place her flat on her back.
c. Initiate oxygen at 2 liters via mask.
d. Notify the doctor.
ANS: A
Measures to combat hyperventilation include breathing into cupped hands or a
paper bag or holding breath for a few seconds. All of these techniques decrease
PCO2.
7. A woman in the transition phase of labor requests a narcotic analgesic
medication for pain relief. What should the nurse explain regarding giving a
narcotic analgesic medication at this stage of labor?
a. It can cause medication given at later stages to be ineffective.
b. It will have no complications for the mother or infant.
c. It may result in respiratory depression to the newborn.
d. It will speed up labor and increase pain.
NURSINGTB.COM
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